Wayne Centra, MOTR/L

NPI 1841582020 · on the registry since 2011 · sole proprietor

Practice

Address: 3002 Dow Ave
114
Tustin, CA 92780
Phone: (714) 731-4668
Fax: (714) 464-4668
Organisation at this address: Kabacare Tustin Ca Pc
Bluebay Mobility Inc.
Centra Pediatric Therapy
Jdb Speech Language Services
Creative Behavior Interventions
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 218

Registry record

Primary taxonomy: 225X00000X
225X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California